Implementation of an Outpatient PTSD Screening and Referral Protocol for Trauma Patients: A Framework for Holistic Recovery

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Metzger, Samantha

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2025-04-14

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Traumatic Injury

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Abstract

Purpose: To improve the delivery and quality of care provided to trauma survivors through the development, implementation, and evaluation of a post-traumatic stress disorder (PTSD) risk assessment tool and mental health intervention protocol for trauma patients in the outpatient setting. Background: Current literature affirms that traumatic injuries can significantly impact mental health and consequently lead to poorer patient outcomes. A persisting gap remains in the identification and treatment of psychological complications secondary to trauma in the outpatient setting. Sample/Setting: All individuals, ages 18 and older, who received treatment for traumatic physical injuries and attended a follow-up visit at a trauma clinic in southeastern Nebraska. Methods: A retrospective chart review was conducted to document compliance of PTSD screening, mental health referrals, and patient education. Follow-up phone calls were utilized to identify any patient barriers to accessing mental health care. Results: Over the nine-week implementation period, 40 patients were seen in the trauma clinic. Of these, 28 patients (70%) were screened for PTSD. 11 of the screened patients (39%) tested positive for the risk of developing PTSD, and all 11 (100%) were offered referrals to the Counseling Center. Additionally, 30 patients (75%) received PTSD education. Conclusion: The success of this quality improvement project demonstrates the significant impact of the implemented protocol in providing trauma patients with continued monitoring and support after hospitalization. Keywords: traumatic injury, trauma patients, post-traumatic stress disorder, early screening, screening tools, and interventions.

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Creighton University

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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University.

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